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Description
Most people begin with weekly injections
N Z Med J 129 Kotilea K, Quennery S, Decros V, Hermans DA (2014) Successful sublingual cobalamin treatment in a child with short-bowel syndrome

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Unlike NAD+ precursors that work downstream, 5-Amino-1MQ acts upstream by blocking NNMTs consumption of S-adenosyl methionine (SAM), resulting in elevated intracellular NAD+ and SAM levels without requiring direct nucleotide supplementation
